Acute Sarcoidosis and EN also joint pains

[Guest guest]

Dear Group,

I found this link that mentions sarc. and EN. It is reassuring to our

newer memebers who have recently been diagnosised with both. Also note

the mention of joint pain in wrists and ankles:

http://bmj.bmjjournals.com/cgi/content/full/310/6987/1128

<<Erythema nodosum

Erythema nodosum is characterised by warm tender erythematous nodules

over the extensor surfaces of limbs. Individual nodules tend to

resolve over three to six weeks without leaving scars. Erythema

nodosum may be associated with a periarthritis, particularly of the

ankles and wrists, and there are several causes of the condition. The

combination of erythema nodosum, periarthritis, and bilateral hilar

lymphadenopathy (seen in radiographs) is diagnostic of acute

sarcoidosis and is almost always self limiting. Chronic sarcoidosis is

a multisystem disease in which a destructive arthropathy and papular

infiltrative skin lesions may develop. Serum concentrations of

angiotensin converting enzyme are often raised in active systemic

sarcoidosis.

Common causes of erythema

nodosum

* Acute sarcoidosis

* Drugs (such as oral contraceptives,

sulphonamides)

* ß haemolytic streptococci

* Ulcerative colitis

* Crohn's disease

* Tuberculosis>>